Key result
Percutaneous coronary angioplasty in the presence of intracoronary thrombus resulted in coronary embolization of thrombus debris in two patients.
Case Report (n=2)
PTCA in the presence of intracoronary thrombus carries a risk of abrupt reclosure and subsequent distal or adjacent branch embolization of thrombus debris.
Embolization risk warrants caution during PTCA with intracoronary thrombus; case reports leave optimal prevention strategies open.
Two cases of coronary occlusion and subsequent embolization during percutaneous coronary angioplasty (PTCA) are described. Prior to PTCA, angiographic evidence of intracoronary thrombus was present. Abrupt reclosure after dilation was treated by successful redilation. However, coronary embolization of thrombus debris occurred downstream in one patient and into an adjacent coronary branch in the second patient.
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Weyne et al. (1986) conducted a case report in Coronary occlusion with intracoronary thrombus (n=2). Percutaneous coronary angioplasty (PTCA) was evaluated on Coronary embolization of thrombus debris. Percutaneous coronary angioplasty in the presence of intracoronary thrombus resulted in coronary embolization of thrombus debris in two patients.
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